Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $130.69	Facility	26	$125.00	$125.00	$130.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $125.00	Professional	26	$90.00	$125.00	$125.00
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.78 / $178.99 / $259.52	Professional	26	$83.78	$178.99	$259.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.61 / $196.48 / $258.19	Professional	26	$109.61	$196.48	$258.19
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $97.36 / $170.09 / $315.94	Professional	26	$97.36	$170.09	$315.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.57 / $118.59 / $494.34	Professional	26	$92.57	$118.59	$494.34
Well Sense Facility/Professional Professional Modifier 26 Low / Median / High Price $70.40 / $82.82 / $125.09	Professional	26	$70.40	$82.82	$125.09